Cloudy or strong-smelling urine

Overview

Cloudy or strong-smelling urine is a urinary symptom characterized by urine that appears murky, hazy, or has an unusually potent odor. This condition can indicate various underlying health issues including urinary tract infections, dehydration, or kidney problems.

Common Causes

Dehydration is one of the most common causes, as concentrated urine naturally appears darker and has a stronger odor. Certain foods like asparagus, garlic, and coffee can temporarily change urine smell, while B vitamins and some medications may affect both color and odor. Holding urine for extended periods allows bacteria to multiply, creating cloudiness and stronger smells. Intense exercise or sweating can also concentrate urine, making these changes more noticeable.

Severity Levels

Mild: Urine may appear slightly cloudy or have a faint unusual odor that comes and goes. This often resolves with increased water intake and typically doesn't interfere with daily activities.

Moderate: Urine is noticeably cloudy or has a consistently strong, unpleasant smell. You may experience this symptom regularly and it may be accompanied by mild discomfort during urination.

Severe: Urine is very cloudy, dark, or has an extremely strong, foul odor that persists despite increased fluid intake. This level often occurs with other concerning symptoms like pain, fever, or frequent urination and requires prompt medical attention.

Medical Attention

Seek medical attention if these symptoms persist for more than a day or two, especially if accompanied by pain during urination, fever, or pelvic discomfort. Contact your healthcare provider immediately if you experience severe abdominal pain, blood in your urine, or signs of infection like chills and high fever. If you're pregnant or have diabetes, it's particularly important to get evaluated promptly when these urinary changes occur.

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